This is the same as the preceding, except that the patient has been imprudent; he has continued eating, and has developed more or less indigestion. He has continued to use the voice until the inflammation has become chronic. Patients in this state have a hoarse, rough voice. Sometimes it is altogether lost. The feeling is such as to cause the patient to want to clear the throat; but every effort is a failure, because there is nothing to be cleared, except perhaps a little mucus. The feeling that there is something there is caused by the swelling of the mucous membrane, which partially closes the passage.

Treatment

If there is any trouble with the nose--chronic inflammation or ulceration, or growths in the nose--these should be treated with a spray; or, if the spray is not desirable, by a strict diet. Fasting for a few days or a week, and then living on a light diet, such as fruit and salad, will bring the disease to an end gradually. Fruit then may be taken in the morning, and fruit, with buttermilk, at noon; simply buttermilk at night. Continue this until all symptoms ,are well overcome; then a full diet: fruit for breakfast, fruit and whole-wheat bread for lunch, and the usual meat and starch dinners, in alternation.